Provider Demographics
NPI:1114583184
Name:ASAGAYA, PATRICIA E (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:ASAGAYA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14302 STROUD CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9502
Mailing Address - Country:US
Mailing Address - Phone:202-714-2585
Mailing Address - Fax:
Practice Address - Street 1:14302 STROUD CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-9502
Practice Address - Country:US
Practice Address - Phone:202-714-2585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR178807363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner